Friday, April 15, 2016

Influenza Virus Vaccine and Administration and Glaucoma screening CPT codes

Glaucoma Screening

HCPCS/CPT Codes

G0117 – By an optometrist or ophthalmologist
G0118 – Under the direct supervision of an optometrist or ophthalmologist

ICD-10-CM Codes
Z13.5

Who Is Covered

Medicare beneficiaries who:
• Have diabetes mellitus;
• Have a family history of glaucoma;
• Are African-Americans aged 50 and older; or
• Are Hispanic-Americans aged 65 and older

Frequency
Annually for covered beneficiaries


Beneficiary Pays
• Copayment/coinsurance applies
• Deductible applies

Influenza Virus Vaccine and Administration

HCPCS/CPT Codes
90630, 90653, 90654, 90655, 90656, 90657,
90660, 90661, 90662, 90672, 90673, 90685,
90686, 90687, 90688, Q2035, Q2036, Q2037,
Q2038, Q2039 – Influenza Virus Vaccine
G0008 – Administration


ICD-10-CM Codes
Z23

Who Is Covered
All Medicare beneficiaries


Frequency
Once per influenza season Medicare covers additional flu shots if medically necessary


Beneficiary Pays
• Copayment/coinsurance waived
• Deductible waived

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